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This article reviews the latest evidence on perioperative IV fluid therapy for major surgery, focusing on the type and volume of fluids, and including suitable criteria to guide such therapy. Although a full review of hemodynamic opti-mization using advanced monitoring is beyond the scope of this review, it will be briefly covered as the two topics
Perioperative fluid management impacts outcomes and plays a pivotal role in enhanced recovery pathways (ERPs). There have been major advances in understanding the effects of fluid therapy and administration during the perioperative period.
3 lis 2020 · we should divide fluid therapy into two components: replacement of fluid losses from the body via insensible perspiration (~500mL/24h), bowel motions (~200mL/24h) and urinary output (500-2000 mL/24h) and. replacement of plasma losses from the circulation due to fluid shifting or acute bleeding.
10 kwi 2015 · Patients should receive fluid therapy guided by predefined physiologic targets. Specifically, fluids should be administered when patients require augmentation of their perfusion and are also volume responsive. This paper provides a general approach to fluid therapy and practical recommendations.
24 maj 2020 · The R.O.S.E. conceptual model (Resuscitation, Optimization, Stabilization, Evacuation) summarizes accurately a dynamic approach to fluid therapy, maximizing benefits and minimizing harms.
This review aims to explain the underlying physiology and describe the evidence base and the changes that have been seen in the approach to perioperative fluid therapy. Keywords: Cardiac output, fluid, perioperative, physiology. Go to: Worldwide, there are over 312 million surgical procedures performed annually. [1]
5 sty 2020 · Fluid therapy is a cornerstone of the haemodynamic management of patients undergoing major elective surgery. Both fluid overload and hypovolaemia are deleterious during the perioperative phase. Zero-balance fluid therapy should be aimed for.
